This paper deals with the phenomenon of risk-selection and its appearance in the german compulsory health insurance market since the adoption of the so-called "Gesundheitsstrukturgesetz" of 1992. Further, the "Risikostrukturausgleich" as well as other measures are discussed as instruments of...

This paper argues that equal per-capita health care premia offer no systematic advantage as an instrument of financing the welfare state. Either will simultaneous changes in the tax system be necessary to compensate their redistributive effects, in which case all efficiency gains derived from a...